are feeling the brunts of spiraling costs and looks like it may get worse. mark medicare advantage is a popular program, and it offers much needed prescription drug assistance and caroline shivley is live in washington, and in practical terms, what does it mean for the seniors who use the program and their monthly premiums? what will happen to them? reporter: it looks like they ll pay $5 more per month in 2010 than in 2009, according to the study by avalanche lear health, a consulting firm, here in d.c., and what they did is looked at the average premium for prescription drug plans under medicare advantage and roll back to 2008 and you can see the increases over the last two years, in 2008 the average monthly payment was $32.98 and jumped in 09 up to 34.69 and 2010, a big bounce, that is where the prediction for $39.61 and you said it best a 14% jump and $5 more per month than last